82523

Collagen cross links test, (urine test to evaluate bone health)

Medicare pricing data for 287 providers across 38 states

🤖AI Overview

This procedure has a 9.4x markup — hospitals charge $171.11 but Medicare allows only $18.30. Uninsured patients may face bills 9.4 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Collagen cross links test, (urine test to evaluate bone health) (HCPCS code 82523) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.30, but hospitals typically charge $171.11 — a 9.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.66

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.30, your out-of-pocket cost would be approximately $3.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.30
Average Hospital Charge
$171.11
Markup Ratio
9.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$171.11
Medicare Allowed$18.30
Medicare Payment$18.30

Hospitals charge 9.4x more than what Medicare allows for this procedure. Medicare actually pays $18.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Michigan$18$707317+0.2%
Georgia$18$2011677+0.1%
Illinois$18$2027729+0.1%
Kansas$18$2496771+0.1%
Kentucky$18$125135+0.1%
Massachusetts$18$20373,895+0.1%
Nevada$18$1992391+0.1%
New Hampshire$18$92460+0.1%
New Mexico$18$1291639+0.1%
New York$18$169335,245+0.1%
North Carolina$18$14288,004+0.1%
North Dakota$18$101259+0.1%
Ohio$18$14811894+0.1%
Oregon$18$1264137+0.1%
Pennsylvania$18$18661,095+0.1%
Rhode Island$18$84143+0.1%
South Carolina$18$114323+0.1%
South Dakota$18$84228+0.1%
Tennessee$18$2683117+0.1%
Utah$18$514344+0.1%
Virginia$18$755429+0.1%
Puerto Rico$18$19739+0.1%
Colorado$18$20181,449+0.1%
Connecticut$18$149254+0.1%
Florida$18$181227,0570.0%
Maryland$18$17761,2700.0%
Texas$18$152283,9140.0%
Alabama$18$15123960.0%
Arizona$18$18141,3830.0%
California$18$1812918,4150.0%
Minnesota$18$1928916-0.1%
New Jersey$18$1721313,791-0.1%
Washington$18$1579541-0.1%
Wisconsin$18$105111,055-0.2%
Hawaii$18$1742345-0.3%
Indiana$18$1366195-0.4%
Oklahoma$18$165378-2.1%
Maine$18$99212-3.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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